Dornase alfa non-comp unit at UPMC Carlisle
361 Alexander Spring Road, Carlisle, PA · UPMC · · NPI 1689107328
$30.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$51.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$6.99 with Prime Net vs $73.43 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Prime Net | Managed Medicare | $6.99 | ↓ -77% |
| Aetna | Medicare | $8.41 | ↓ -73% |
| Keystone Health Plan | Medicare Advantage | $10.20 | ↓ -67% |
| Capital Blue Cross | Medicare Advantage | $10.20 | ↓ -67% |
| Capital Blue Cross | Commercial | $16.37 | ↓ -47% |
| Capital Blue Cross | CHIP | $16.37 | ↓ -47% |
| Keystone Health Plan | Commercial | $16.37 | ↓ -47% |
| Prime Net | Legacy Commercial | $19.89 | ↓ -35% |
| Prime Net | ACO | $20.04 | ↓ -35% |
| Aetna | ACO | $20.04 | ↓ -35% |
| UPMC Work Partners | Workers Comp | $20.77 | ↓ -32% |
| Prime Net | NonGateKeeper | $23.71 | ↓ -23% |
| Aetna | Commercial | $23.87 | ↓ -22% |
| Prime Net | GateKeeper | $23.87 | ↓ -22% |
| United Healthcare | Commercial | $31.42 | ↑ +3% |
| Wellspan Population Health | PPO | $33.15 | ↑ +8% |
| Geisinger | Commercial | $33.39 | ↑ +9% |
| UPMC Health Plan | Commercial | $35.70 | ↑ +17% |
| Prime Net | FH-Medical Rental | $38.56 | ↑ +26% |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $43.35 | ↑ +42% |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $51.57 | ↑ +69% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $55.16 | ↑ +80% |
| Geisinger | Medicaid/CHIP | $55.16 | ↑ +80% |
| PA Health & Wellness | PA Medicaid HMO | $55.16 | ↑ +80% |
| Highmark Wholecare (prev Gateway) | Medicaid | $56.27 | ↑ +84% |
| UPMC Health Plan | Managed Medicaid | $60.68 | ↑ +98% |
| UPMC Health Plan | CHIP | $67.85 | ↑ +122% |
| Cigna | Commercial | $73.43 | ↑ +140% |
Visitor-reported prices
Comments
Dornase alfa non-comp unit at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $170.40 | $11.25 – $170.40 |
| UPMC Community Osteopathic | Harrisburg | $30.60 | $10.20 – $67.85 |
| UPMC East | Monroeville | $231.20 | $11.35 – $231.20 |
| UPMC Hamot | Erie | $197.60 | $11.25 – $141.78 |
| UPMC Northwest | Seneca | $104.80 | $29.19 – $61.88 |
| UPMC Hanover | Hanover | $30.60 | $51.57 – $73.43 |
| UPMC Jameson | New Castle | $104.80 | $11.44 – $55.71 |
| UPMC Lititz | Lititz | $30.60 | $51.57 – $73.43 |